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Table 4 Risk factors for virologic failure

From: Safety and efficacy of switching to elvitegravir, cobicistat, emtricitabine, tenofovir disoproxil fumarate in treatment-experienced people with HIV: a multicenter cohort study

 

Virological failure n = 13,

n/median (%/IQR)

Virological success n = 314,

n/median (%/IQR)

p–value

Age, years

46 (41–50)

44 (38–51)

0.82

Gender, male

10 (77.0%)

219 (70.0%)

0.76

Mode of HIV infection

1.00

Heterosexual

7 (54.0%)

162 (52.0%)

MSM

5 (38.0%)

117 (37.0%)

Others

1 (8.0%)

35 (11.0%)

Nadir CD4 cell count (cell/mm 3 )

212 [166–255]

231 [107–349]

0.77

CD4 cell count at baseline (cell/mm 3 )

536 [405–866]

619 [452–804]

0.89

Creatinine levels at baseline (µmoL/L)

79 [68–88]

79 [70–90]

0.76

Time since HIV infection, years

12 (11–19)

11 (5–17)

0.27

Duration of HIV treatment, years

9 (6–10)

8 (4–13)

0.77

Number of previous ART regimens

4 (2–4)

3 (2–5)

> 0.99

History of VF before the switch

2 (15.0%)

64 (20.0%)

1.00

Duration of HIV RNA < 50 copies/mL before the switch, months

21.9 (3–26)

33.6 (13–63)

0.05

INSTI base ART at time of switch

2 (15.0%)

66 (21.0%)

1.00

PI/r based ARTat time of switch

9 (69.2%)

177 (56.4%)

0.44

Previous M84V/I*

4/9 (44.0%)

27/143 (19.0%)

0.09

Previous M84V/I + at least 1 other TDF RAM* (among M41L,E44D, D67N,T69D/N/S, L74V/I, L210W or T215A/C/D/E/G/H//L/N/S/V/Y/F)

3/9 (33.3%)

14/143 (9.8%)

0.06

Previous K65R*

0/9 (0.0%)

1/143 (1.0%)

1.00

Previous RAMs to elvitegravir (N155H)*§

1/9 (11.0%)

0/143 (0.0%)

0.06

  1. RAM resistance associated mutations, MSM men who have sex with men, VF virologic failure, INSTI integrase strand transfernhibitors, TDF tenofovir, 3TC lamivudine, FTC emtricitabine
  2. §this patient had also M184V
  3. *For the 314 patients with virologic success, 143 had a genotype available at baseline in the electronic health record (EHR); for the 13 patients with virologic failure, genotypes were available for 9, either available in the EHR or retrospectively collected at the virology lab